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    Immersion Consent

    Uploaded by

    EJ Ravelo
    This document is a parent consent form for a senior high school student's work immersion from Bambang National High School in Nueva Vizcaya, Philippines. It requests medical and contact information for the student. It also lists six points that the parent consents to regarding the work immersion, including consenting to the student participating in the work immersion program, confirming there are no medical conditions that would prevent participation, supporting the program financially if needed, and consenting to transportation during the program as long as safety precautions are followed. The parent signs to provide their consent.

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    © All Rights Reserved
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    Immersion Consent

    Uploaded by

    EJ Ravelo
    47 views1 page
    This document is a parent consent form for a senior high school student's work immersion from Bambang National High School in Nueva Vizcaya, Philippines. It requests medical and contact information for the student. It also lists six points that the parent consents to regarding the work immersion, including consenting to the student participating in the work immersion program, confirming there are no medical conditions that would prevent participation, supporting the program financially if needed, and consenting to transportation during the program as long as safety precautions are followed. The parent signs to provide their consent.

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    immersion consent

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    immersion consent

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    This document is a parent consent form for a senior high school student's work immersion from Bambang National High School in Nueva Vizcaya, Philippines. It requests medical and contact information for the student. It also lists six points that the parent consents to regarding the work immersion, including consenting to the student participating in the work immersion program, confirming there are no medical conditions that would prevent participation, supporting the program financially if needed, and consenting to transportation during the program as long as safety precautions are followed. The parent signs to provide their consent.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    47 views1 page

    Immersion Consent

    Uploaded by

    EJ Ravelo
    This document is a parent consent form for a senior high school student's work immersion from Bambang National High School in Nueva Vizcaya, Philippines. It requests medical and contact information for the student. It also lists six points that the parent consents to regarding the work immersion, including consenting to the student participating in the work immersion program, confirming there are no medical conditions that would prevent participation, supporting the program financially if needed, and consenting to transportation during the program as long as safety precautions are followed. The parent signs to provide their consent.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Republic of the Philippines

    Department of Education
    Region II – Cagayan Valley
    Schools Division of Nueva Vizcaya
    BAMBANG NATIONAL HIGH SCHOOL
    Bambang, Nueva Vizcaya

    SENIOR HIGH SCHOOL WORK IMMERSION PARENT CONSENT FORM

    Name of the Student: _______________________________________ Age: __________

    Name of Parent/Guardian: ____________________________________________

    Relationship to the Student: ___________________________________________

    Complete Address: __________________________________________________

    Mobile Number: _________________________

    Does your child suffer from any medical conditions/allergies that the teacher/school/company
    should be aware of (including any current medical condition)?

    ( ) No ( ) Yes (please indicate)

    ___________________________________________________________________________

    Please provide details of medication that must be administered.

    ___________________________________________________________________________

    CONSENT (Please read carefully)

    1. I willingly and voluntarily give consent to my son/daughter to be sent for Work Immersion as
    part of the requirement set by the Department of Education in the Senior High School.
    2. I confirm to the best of my knowledge that my son/daughter does not suffer from any medical
    condition other than listed above.
    3. I am fully aware of the content of the DEPED Order 30 s2017 (Guidelines for Work
    Immersion).
    4. I fully support the Work Immersion of my son/daughter through minimal financial cost and
    though my attendance/ presence if so desired.
    5. I consent my son/daughter by any form of public/private transport by land or water if needed
    as long as it is within the scope of its activities and training.
    6. I have considered the benefits that my son/daughter will derive from his or her Work
    Immersion provided that due care and precaution will be observed to ensure the comfort and
    safety of my son/daughter and that teachers/School/company may not be held responsible for
    any untoward incident that may happen beyond their control.

    Signed: ______________________________________________
    Signature above-printed name of Parent

    ____________________________________
    Date

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